Active NPI
Edniqua Fraser
- Case Management Registered Nurse
- Bothell, WA
National Provider Identifier
1396652632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN9651360
- Practice address
- 22522 29TH Dr SE Unit L210
Bothell, WA 98021-4443 - Phone
- (800) 869-7175
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN9651360 | FL | Primary |
Addresses
Primary practice location
22522 29TH Dr SE Unit L210
Bothell, WA 98021-4443
Mailing address
22522 29TH Dr SE Unit L210
Bothell, WA 98021-4443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1396652632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22522 29TH DR SE UNIT L210",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980214443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22522 29TH DR SE UNIT L210",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980214443",
"telephone_number": "800-869-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "EDNIQUA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "FL",
"license": "RN9651360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.